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The Jharkhand Value Added Tax Forms , 2005
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Body
     
FORM JVAT 410
 

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

[See Rule 35(9)(a)]

Form of Declaration under the Jharkhand Value Added Tax Rules 2006 (For Goods specified in under sub-section (2) of Section 9

The Selling registered dealer shall issue to its purchasing registered dealer

1. Name & Address of the selling dealer ...................................................................
2. Name of the Circle, where he is registered ...................................................................
3. TIN of the selling dealer
                     
 
4. Name of the purchasing registered dealer  
5. Name of the Circle, where the purchasing registered dealer is registered ...................................................................
6. TIN of the purchasing dealer
                     
 
7. Unit Price of the goods Rs. ......................................................
8. Quantity and Price of the goods sold ...................................................................
9. Quantity of the goods given as free, under any marketing scheme; if any. ...................................................................
10. Maximum Retail Price of the goods sold Rs. ......................................................
11. Amount of tax recovered from the purchasing dealer, at the Maximum Retail Price of the specified goods Rs. ......................................................

DECLARATION

I ………………………………………… Status ………………………. of the above business hereby declare that the amount of tax recovered from the purchasing registered dealer has been deposited into the Government Treasury.

    Signature & Stamp
Date of declaration    
Date Month Year